This formulation is a compounded topical gel containing Cyclobenzaprine 2%, Diclofenac 3%, Flurbiprofen 3%, Gabapentin 10%, Lidocaine 3%, and Tramadol 5%. It is a semisolid formulation that is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency of the formulation ensures that the active ingredients are absorbed effectively into the skin for targeted treatment.

The combination of these six active ingredients provides a multi-modal approach to pain management. Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Diclofenac and Flurbiprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) that reduce substances in the body that cause pain and inflammation. Gabapentin is an anticonvulsant that is often used to relieve nerve pain. Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. Tramadol is an opioid pain medication that works by changing the way your brain and nervous system respond to pain.

This formulation is used to treat various disease states that involve pain and inflammation. It can be used for conditions such as arthritis, nerve pain, muscle pain, and other types of chronic pain. The topical application allows for targeted treatment, reducing systemic side effects often associated with oral medications. It is important to note that this formulation should be used as directed by a healthcare provider, and patients should not apply more than the recommended dose.

As compounding pharmacists, we are able to customize this formulation to meet the specific needs of each patient. This includes adjusting the concentration of each active ingredient, changing the base of the formulation, or adding other active ingredients as needed. We work closely with healthcare providers to ensure that each formulation is safe, effective, and tailored to the individual patient.

If you have any questions about this formulation, or if you are a healthcare provider interested in prescribing this formulation for your patients, please do not hesitate to reach out to us. We are here to provide you with the information and support you need to make informed decisions about your healthcare.

This formulation is a combination of six active ingredients: Cyclobenzaprine, Diclofenac, Flurbiprofen, Gabapentin, Lidocaine, and Tramadol. Each of these ingredients has its own mechanism of action and potential for drug interactions. It's important to note that this is a topical formulation, which generally results in lower systemic absorption compared to oral administration. However, some systemic absorption can still occur, especially with prolonged use or application to large areas of skin.

Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It may interact with drugs such as monoamine oxidase inhibitors (MAOIs), certain antidepressants, and alcohol, leading to an increased risk of serotonin syndrome, a potentially life-threatening condition.

Diclofenac and Flurbiprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) that reduce substances in the body that cause pain and inflammation. They may interact with drugs such as anticoagulants, antiplatelet drugs, and other NSAIDs, increasing the risk of bleeding. They may also interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), or diuretics, potentially reducing their effectiveness or increasing the risk of kidney problems.

Gabapentin is an anticonvulsant and nerve pain medication. It may interact with antacids containing aluminum or magnesium, potentially reducing the absorption of gabapentin. It may also interact with opioids, increasing the risk of sedation and respiratory depression.

Lidocaine is a local anesthetic that works by blocking nerve signals in your body. It may interact with drugs such as class I antiarrhythmics and other local anesthetics, potentially leading to additive systemic toxicity.

Tramadol is an opioid pain medication. It may interact with drugs such as MAOIs, certain antidepressants, and other opioids, increasing the risk of serotonin syndrome or opioid toxicity. It may also interact with drugs that induce or inhibit CYP3A4 and CYP2D6 enzymes, potentially affecting the metabolism of tramadol.

This formulation is intended for the management of neuropathic pain, musculoskeletal pain, and inflammation. The combination of these active ingredients allows for a multimodal approach to pain management, targeting different aspects of the pain pathway. It's important to use this medication exactly as directed by your healthcare provider and to inform them of all the medications you are currently taking, including prescription drugs, over-the-counter medications, and dietary supplements.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us. We are here to help ensure that your treatment is safe and effective.

This formulation is a combination of six active ingredients: Cyclobenzaprine, Diclofenac, Flurbiprofen, Gabapentin, Lidocaine, and Tramadol. Each of these ingredients works in a unique way to provide relief from pain and inflammation.

Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Diclofenac and Flurbiprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) that reduce substances in the body that cause pain and inflammation. Gabapentin is an anticonvulsant and nerve pain medication that alters the body's electrical activity and calms the nerves, providing relief from nerve pain. Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes, thereby reducing pain and discomfort. Tramadol is an opioid pain medication that works by changing the way your brain and nervous system respond to pain.

When applied topically, this formulation allows for targeted treatment. The active ingredients are absorbed through the skin directly into the affected area, providing localized relief from pain and inflammation. This can be particularly beneficial for conditions such as arthritis, nerve pain, muscle pain, and other similar conditions. The gel-like consistency of the formulation allows for easy and precise application, and the pump mechanism ensures that the correct dose is dispensed each time.

It's important to note that while this formulation can provide significant relief from pain and inflammation, it's not a cure for the underlying conditions causing these symptoms. It's also crucial to use this medication as directed by a healthcare professional, as misuse can lead to serious side effects. If you have any questions about this formulation, don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

This compounded formulation of Cyclobenzaprine/Diclofenac/Flurbiprofen/Gabapentin/Lidocaine/Tramadol in a topical gel delivers multimodal pain relief, targeting various pain pathways in a single, non-addictive prep. While primarily utilized for neuropathic pain, including diabetic neuropathy, post-herpetic neuralgia, and fibromyalgia, it may have other potential uses.

Its broad spectrum of active agents, primarily nonsteroidal anti-inflammatory drugs (diclofenac and flurbiprofen), can make it a good option for symptomatic relief in conditions such as osteoarthritis or other musculoskeletal disorders that have a localized inflammation component. Lidocaine, a local anesthetic, works to numb the area on which it's applied, providing immediate pain relief. This can be beneficial in cases of localized acute injury as well.

Moreover, tramadol, a weak opioid, and gabapentin, a medication primarily used for nerve pain, add to its effectiveness as a tool for managing conditions marked by chronic pain, including lower back pain, neuralgia or postoperative pain. Tramadol’s presence in the formulation can be particularly useful in conditions where a centrally acting agent is needed due to the persistent nature of the condition.

The muscle relaxant property of cyclobenzaprine further supports possible off-label uses for muscle spasms or myofascial pain. Lastly, given its topical application, it might also benefit individuals who cannot tolerate oral administration or wish to avoid systemic side effects from comparable oral medications.

However, efficacy and safety for uses outside of the standard indications will depend on the individual’s specific conditions and should be discussed with a healthcare provider. If you or your healthcare provider have additional questions about the formulation or potential uses, please reach out to us at Bayview Pharmacy. We are more than happy to discuss how this formulation could potentially fit into your pain management plan.